TREATMENT OF BACTERIAL TONSILLITIS BY FAMILY PHYSICIANS OF COMMUNITY HEALTH CENTER IN COUNTY OF SPLIT AND DALMATIA

Abstract

CILJ ISTRAŽIVANJA: Cilj ovog istraživanja bio je istražiti koji se antibiotici propisuju u ambulantama obiteljske medicine u liječenju gnojne angine, i istražiti ovise li propisani antibiotici o obilježjima liječnika i pacijenata. ISPITANICI I METODE: U ovo istraživanje uključena su 53 liječnika obiteljske medicine pri DZ SDŽ. Podatke smo prikupili prilagodbom programskog rješenja za vođenje ordinacije Softmed 2. U istraživanje su uključeni svi pacijenti u skrbi ispitanika kojima su u periodu od 01. siječnja 2015. god. do 31. prosinca 2016. godine u medicinski karton upisane dijagnoze J03, J03.0, J03.8 i J03.9 te su zbog iste liječeni antibiotskom terapijom. Promatrane sociodemografske karakteristike liječnika su bile: dob, spol, radni staž, specijalizacija i radno mjesto, a kod pacijenata dob i spol. REZULTATI: Najkorišteniji antibiotik bio je amoksicilin s klavulanskom kiselinom, koji je korišten u 34,4% slučajeva. Amoksicilin je propisan u 20%,a azitromicin u 17,8% slučajeva. Penicilini koji su preporučena prva linija terapije gnojne angine korišteni su u samo 14,5% slučajeva. Prema našim rezultatima nema statistički značajne razlike u vrsti propisivanog antibiotika ovisno o specijalizaciji liječnika. Veći postotak propisavanja penicilina zabilježen je u muških liječnika. ZAKLJUČCI: Liječnici obiteljske medicine ne pridržavaju se zadanih smjernica u liječenju gnojne angine bez obzira na dob, spol, radno iskustvo, specijalizaciju, i radno mjesto.OBJECTIVES: Objective of this research was to investigate which antibiotics are being prescribed in treatment of bacterial tonsillitis by family physicians. We also wanted to determine if prescription of certain antibiotics depends on factors related to doctors and patients. PATIENTS AND METHODS: In our research we included 53 family physicians of Community Health Center in County of Split and Dalmatia. Data was collected by adjusting office program Softmed 2. We included all patients in physicians care that had been diagnosed with J03, J03.0, J03.8 i J03.9 from January 1. 2015. to December 31. 2016., and had been treated with antibiotics. Observed socio-demografic traits were age, sex, work experience, specialty and location of practice of physicians, and sex and age of patients RESULTS: Most commonly used antibiotic was amoxicillin with clavulonic acid that was prescribed in 34.4% of cases. Amoxicillin was prescribed in 20% of cases, and azitromicin was used in 17.8% of cases. Penicillins, that are recommended first line of therapy, were used only in 14.5% of cases. No statistically significant differences in prescription of antibiotics were found depending on specialty of physician. Higher rate of penicillin prescription was found in male physicians. CONCLUSIONS: Family physicians do not adhere to recommended guidelines in treatement of bacterial tonsillitis, no matter their age, sex, work experience, specialty or location of practice